PLNDP Colloquium at the Aspen Institute
The PLNDP leadership met again this past June at the Aspen Institute. An important goal of this meeting was to facilitate dialogues between
various disciplines in order to arrive at shared goals and to articulate the necessary steps in national and local research and advocacy efforts.
To this end, representatives from law, the enforcement community, business leaders, legislators, community coalition leaders, and experts in addiction medicine and addiction psychiatry were present. Some attendants representing these different areas include Sally Hillsman, JD, the Deputy Director of the National Institute of Justice, Hubert Williams, the President of the Police Foundation, Judge Thomas A. Clark, past President of the American Judges Association, Hoover Adger, Jr. MD, MPH, President of the National Association for Children of Alcoholics and former Deputy Director of the ONDCP, and Alan Leshner, PhD, Director of the National Institute on Drug Abuse. An AP reporter present at the meeting resulted in coverage that appeared in newspapers nationwide. Participants responded positively to the idea of working together to influence drug policy, and the enthusiasm following this meeting has reinforced the need to continue on our path towards more effective treatment policies.
Lewis, DC. A Disease Model of Addiction. Principles of Addiction Medicine.
(Chevy Chase, MD: American Society of Addiction Medicine, 1994): Chapter 7. The definition of a disease is vague enough to encompass many illnesses that are labeled as diseases.
However, addictions and psychiatric disorders have been forced to conform to more specific definitions of disease, even though there are many similarities between addictive and psychiatric disorders and diseases such as diabetes mellitus and gout. Alcoholism is comparable to accepted diseases such as essential hypertension, coronary heart disease (CHD), diabetes mellitus, and gout. The evidence supporting the biological basis of alcoholism parallels the evidence for CHD and diabetes mellitus – they all are sometimes inherited and have physical effects on the body. Also like other diseases, alcoholism displays signs and symptoms which vary greatly. The question of control versus etiology plays an important factor in defining alcoholism as a disease; the onset of diseases such as essential hypertension or diabetes mellitus partially depend on peoples’ diet control, just as the onset of alcoholism partially depends on peoples’ control of alcohol consumption. Alcoholism must be considered within a biopsycho-social model – a biological, psychological, and social environment – to understand the etiology of diseases, from alcoholism to CHD to diabetes.
Leshner AI. Addiction is a Brain Disease, and It Matters. Science (3 October 1997) 278: 45-48. Scientific advances over the past 20 years have shown that drug addiction is a chronic, relapsing disease that results from the prolonged effects of drugs on the brain. As with many other brain diseases, addiction has embedded behavioral and social-context aspects that are important parts of the disorder itself. Therefore, the most effective treatment approaches will include biological, behavioral, and social-context components. Recognizing addiction as a chronic, relapsing brain disorder characterized by compulsive drug seeking and use can impact society’s overall health and social policy strategies and help diminish the health and social costs associated with drug abuse and addiction.
Medical Student Associate Directory on the Web
We are pleased to announce that we have created a PLNDP Medical Student Associate Directory on the web. The Directory has been created to promote
contact among Medical Student Associates. We would like to encourage you to share your ideas and combine efforts with other medical students in your local area as well as nationwide. In order to access the Directory, please contact the PLNDP program office at firstname.lastname@example.org or phone 401-444-1817.
For your protection, the Directory is not linked to any of the PLNDP webpages or to the Medical Student Associate website, so you will have to type in
the name of the website in order to access it. This was done so that only other Medical Student Associates will be aware that the Directory even exists
PLNDP Video for Cable
A 28-minute video, which combines footage from the PLNDP’s past two videotape reports, “Drug Addiction: The Promise of Treatment” and “Trial,
Treatment, and Transformation,” is currently being developed for use on cable television.
The new cable version, entitled From Hopelessness to Healing, will be made available to both local and national cable stations and should be ready by the end of this month. If you are interested in helping to distribute the latest PLNDP video or want to broadcast it on your local cable television station, please contact Kathryn Cates-Wessel by email email@example.com or by calling 401-444-1816.
On June 7, 1999, President Clinton directed the U.S. Office of Personnel Management to achieve parity for insurance coverage of both mental health and
substance abuse for the Federal Employees Health Benefits Program (FEHBP) by 2001. The FEHBP is the largest employee-sponsored health insurance program in the country, covering about 9 million people,
including federal employees, retirees, and their families. The President noted that the FEHBP will set a good example for other employers and the insurance industry, encouraging them to cover the costs for
treating mental health and substance abuse problems in the same way they cover other health costs. The President was also careful to point out two facts: (1) parity is not only beneficial, but also affordable;
and (2) mental health and substance abuse health care costs will be appropriately managed, in much the same way other health care costs are already managed. For more information on parity, you can review the PLNDP
Parity Fact Sheet that was enclosed with your September 1998 newsletter on the web.